07D2229417 CLIA NUMBER - WALGREENS # 19944

Laboratory Demographics

  • CLIA Code: 07D2229417
  • Facility Name: WALGREENS # 19944
  • Facility Address: 71 PALOMBA DR
    ENFIELD, CT
    ZIP 06082
  • Facility Phone: 860 749-4184
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THOMAS PADREVITA RPH
  • NPI Number: 1124541966
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 07D2229417
LAB Type Pharmacy
Facility Name WALGREENS # 19944
Street 71 PALOMBA DR
City ENFIELD
State CT
ZIP 06082
Phone 860 749-4184
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2025
Certificate Expiration Date 7/11/2027
Facility Type Pharmacy
Lab Director THOMAS PADREVITA RPH

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This page was last updated on: 9/29/2025